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KENNEDY/JENKS CONSULTANTS <br /> UTILITY LOCATION&ACKNOWLEDGEMENT FORM <br /> Call 811 for Utility Locate at Least 48 Hours Prior to Work <br /> Project Location: <br /> Project Number: <br /> Project Name: <br /> Planned Start Date of Field Activities: <br /> Kennedy/Jenks Personnel: <br /> Private Utility Locator Name: <br /> 811 Contact Date and Time(48 hours before work begins): <br /> KJ One-Call Contractor IDd(varies by state) <br /> Ticket Number. <br /> Utility Clearance Information <br /> How Were Boring/Excavation Locations Cleared: <br /> ®2010 Kennedy/Jenks Consultants <br /> BNSF Bend OR <br /> Utility Notification Form December 2015 <br /> rt¢govelNWbNkmolllFluexmYgpwrx o-1 emeLryb[coNmmngle <br />